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HomeMy WebLinkAboutPermit Building 2014-5-30 II - SPRINGFIELD 225 Fifth St 6,,,,,... CITY OF SPRINGFIELD Springfeld,OR 97477 C �'� Phone: 541-726-3753 '� OREGON Building (.Commercial Permit Inspection Phone: 541-726-3769 Fax: 541-726-3676 PERMIT NO: 811-SPR2014-01176 www.springfield-or.gov permitcenter @springfield-or.gov PROJECT STATUS: Issued ISSUED: 05130/2014 EXPIRES: 11/25/2014 STATUS DATE: 05/30/2014 APPLIED: 05/30/2014 SITE ADDRESS: 770 HARLOW RD,APT#,Springfield,OR 97477 SCOPE: ReRoof ASSESOR'S PARCEL NO: 1703223402800 TYPE OF STRUCTURE: Commercial PROJECT DESCRIPTION: Reroof OWNER: SUN RETIREMENT CORPORATION Phone Number: ADDRESS: 200 HAWTHORNE AVE SE A-140 SALEM OR 97301 CONTRACTOR INFORMATION II Contractor Type Contractor Name Lic Type Lic No Lic Exp Phone General Contractor JAMES PATRICK LEE CANTERBERRY CCB 187881 08/31/2015 541-937-4290 INSPECTIONS REQUIRED Inspections 1620 Roofing Roofing: Prior to installing any roof covering. 1630 Roof Sheathing Roof Sheathing By signature, I state and agree, that I have carefully examined the completed application and do hereby certify that all information hereon is true and correct, and I further certify that any and all work performed shall be done in accordance with the Ordinances of the City of Springfield and the Laws of the State or Oregon pertaining to the work described herein, and that NO OCCUPANCY will be made of any structure without permission of the Community Services Division, Building Safety. I further certify that only contractors and employees who are in compliance with ORS 701.005 will be used on this project. I further agree to ensure that all required inspections are requested at the proper time,that each address is readable from the street, that the permit card is located at the front of the property, and the approved set of plans will remain on the site at all times during construction. AI...„-...• ...._......---s" . 54/ • er or Contractor Signature Date • NOTICE: THIS PERMIT SHALL EXPIRE IF THE WORK AUTHORIZED UNDER THIS PERMIT IS NOT follow rules adorpted by the Oregon Utility e rules a re COMMENCED OR IS ABANDONED FOR Notification Center. Thos setforth ANY 180 DAY PERIOD. in OAR 952-001-0010 through OAR 952-001- 0090. You may obtain copies of the rules by calling the center. (Note: the telephone number ente is 1-800-332-2344). UtUtility • Springfield Building Permit 5/30/2014 11:30:04AM Page 1 of 1 SPRINGFIELD - CITY OF SPRINGFIELD 225 Fifth St ;�` Ego TRANSACTION RECEIPT Springheld,OR97477 541-726-3753 811-SPR2014-01176 www.springfield-or.gov 770 HARLOW RD. APT 100 permitcenter©springfield-or.gov RECEIPT NO: 2014001181 RECORD NO: 811-SPR2014.01176 DATE:05/30/2014 'DESCRIPTION• L ,_� 1�.. _ACCOUNT CODE/TRANS CODE' ` :AMOUNT DUE Building Permit Fee 224-00000-425602 1002 559.70 Continuing Education 224-00000-425606 2.50 State of Oregon Surcharge(12%of applicable fees) 821-00000-215004 1099 67.16 Technology fee(5%of permit total) 100-00000-425605 2099 27.99 TOTAL DUE: 657.35 ;__PAYMENT TYPES r_PAYDR , CASHIER ccARPENrER; , . COMMENTS - ;AMOUNT PAID _ - 'I Cash JAMES PATRICK LEE CANTERBERR 657.35 TOTAL PAID: 657.35 Structural Permit Application SPRINGFIELD • DEPARTMENT USE ONLY.;`' . " ' CITY OF SPRINGFIELD OREGON, ;:,1" u! A x711 :. c 225 Fifth Street•Springfield,OR 97477•PH(541)726-3753•FAX(541)726-3689 OREGON Date: 57g3 /1L/ This permit is issued under OAR 918-460-0030. Permits expire if work is not started within 180 days of issuance or if work is suspended for 180 days. i�' ti„ ° `LOCAL'GOVERNMENT^APPROVAL +,b t a°... ?t ?+ E„_pF. E SCHEDULE ;. ,°,, e, This project has final land-use approval. `I,Valuation,tnformation,,,,, ;',,< 5 ` '''>;,c711-4,',..Y%is a �=a--` Signature: Date; (a)Job description: 1P-C ecz c0 I� This project has DEQ approval. Occupancy "y. Signature: Date: � / Zoning approval verified: ❑ Yes ❑No Construction type: t, t 7 Property is within flood plain: ❑ Yes ❑No Square feet: " 'i"fit, h.. CATEGORY OF CONSTRUCTIONV z ); ?`: Cost per square foot: O'Residential ❑Government ❑Commercial Other information: X'':r ' {JOB:SITE'INFORMATION AND,LOCATION %3*4 '' Type at Heat: Job site address: k.' _c o f$ 5 �� Energy Path: City: - 1 State , ZIPPM4M1 . ❑new ©alteration ❑ addition Subdivision: Lot no.: (b)Foundation-only permit? ❑Yes ❑No Reference: I Taxlot: Total valuation: $ ;lwtz`.Y." M;r° .i PROPERTYIOWNERi ::;MA _ ' ', 2 Buildt g fees gx;.3 .04:0?i.T .` . c Sa Name: cN Its i _ L -P _ (a)Permit fee(use valuation table): $'cfr252 Address: 2[7)O /,*¢�J��.f/ e 9 (b)Investigative fee(equal to[2a]): $ City: S je7v∎r' ' Stated)_, ZIP: // / (c)Reinspection($ per hour): Phone: Fax: - - (number of hours x fee per hour) $ E-mail: (d)Enter 12%surcharge(.12 x[2a+2b+2c]): £k r ` o/--€ (e)Subtotal of fees above(2a through 2d): $ Building Owner or Owner's agent authorizing this application: u,3 Plan'r`evtew fees;,°s„M`;,z .a;r"J'n?'1 Z%5 '*n"m1:Wiii t, c (a)Plan review(65%x permit fee[2a]): $ Sign here ,-^ /fyla` 10 .. me (b)Fire and life safety(40%x permit fee[2a]): $ ❑This installation is being made on or farm property owned by (c) Subtotal of fees above(3a and 3b): $ me or a member of my immediate family,and is exempt from licensing =4'3Miscellaneous fees';: Y 1 e: t .cb 4"Zx Priel requirements under ORS 701.010 -, yam (a) Seismic fee, 1%(.01 x permit fee [2a]): $ �� :a _ CONTRACTOR INSTALLATION�,° <Pota,2",,fir,+1,Yi'. (b)Technology fee,5%(.05 x permit fee 2a $ q Business name: C �' .� ����a P te'' �� - (c)Continuing Education Fee$2.50 $2.50 Q Address. City: �ssuag_ State: dA ZIc ' TOTAL fees and surcharges(2e+3c+4a+4b+4c): $�7 Phone:S4‘-S3t.t.4Zt2Vp Fax:: -- - E-mail:ItiaL,tNAet bQv t &A& erk wW 1 .stm1/.. CCB license no.: `gsnea\ Print name CQ.Vtta 3t.Site s.NT, ` Signature: r � . )',2 `V ;4SUBzCONTRACTORIIN1, RMATIONry F . „ ,,r;?t°; Name CCB License# Phone Number Electrical Plumbing Mechanical